A TEST-RETEST RELIABILITY STUDY OF CHILD-REPORTED PSYCHIATRIC-SYMPTOMS AND DIAGNOSES USING THE CHILD AND ADOLESCENT PSYCHIATRIC-ASSESSMENT (CAPA-C)
A TEST-RETEST RELIABILITY STUDY OF CHILD-REPORTED PSYCHIATRIC-SYMPTOMS AND DIAGNOSES USING THE CHILD AND ADOLESCENT PSYCHIATRIC-ASSESSMENT (CAPA-C)
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DOI：
10.1017/s0033291700034991
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发表时间：
1995-07-01
影响因子：
6.9
通讯作者：
COSTELLO, EJ
中科院分区：
文献类型：
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作者：
ANGOLD, A;COSTELLO, EJ
77名10-18岁的精神病住院和门诊患者参加了儿童和青少年精神病评估（CAPA）的复试研究。他们相隔几天接受了两次采访。诊断的总体信度范围从kappa = 0.55（行为障碍）到1.0（药物滥用或依赖）。总的来说，门诊患者的精神病理学量表得分的可靠性略低于住院患者，尽管焦虑症和社会心理障碍的情况正好相反，行为障碍诊断的可靠性——唯一一个足够普遍的个体诊断允许这种比较。研究发现，行为问题报告的不可靠性与在第一次面试中承认说谎有关。讨论了这些结果对CAPA使用的影响。
Seventy-seven 10-18-year-old psychiatric in-patients and out-patients took part in a test-retest study of the Child and Adolescent Psychiatric Assessment (CAPA). They were interviewed on two occasions several days apart. Overall reliability of diagnosis ranged from kappa = 0.55 (conduct disorder) to 1.0 (substance abuse or dependence). In general, reliability for scale scores of psychopathology was somewhat lower in out-patients than in-patients, though the opposite was the case for anxiety disorders and psychosocial incapacity and the reliability of the diagnosis of conduct disorder - the only individual diagnosis sufficiently common to permit this comparison. Unreliability of reports of behavioural problems was found to be related to admitting to being a liar in the first interview. The implications of these results for the use of the CAPA are discussed.